Individual
SAMAYAH FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3826 PARK AVE, EDISON, NJ 08820-2565
(848) 247-6235
Mailing address
60 CHANCELLOR AVE, NEWARK, NJ 07112-2302
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YHZ338875
HORIZON NJ HEALTH
—
Enumeration date
05/15/2019
Last updated
05/15/2019
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